Innovation and Discovery

(From the August 2018 Issue of MedStat)

More news from The Research Institute can be found at NationwideChildrens.org/Research-News.

Updated Practice Tool Offers Guidance to Diagnosing and Managing Pediatric Hypertension

To determine pediatric hypertension, physicians must consider blood pressure, gender, age and height. The Section of Nephrology at Nationwide Children’s has developed a practice tool to help providers evaluate and manage the condition. The tool includes updates from the American Academy of Pediatrics, definitions and guides to taking measurements, diagnosing and treating hypertension.    

Learn more in this PediatricsOnline article.

Use of an Ultrasound Template to Diagnose Appendicitis Cuts Radiation Exposure and Costs

To diagnose appendicitis, a common reason for children to undergo abdominal surgery, the American College of Radiology recommends use of ultrasound before CT scans, to reduce radiation exposure. Surgeons at Nationwide Children’s developed a standardized ultrasound template, in order to improve the quality of the ultrasound diagnoses.  Using the template, they reduced CT rates by 78 percent, which not only reduce the risk for malignancy due to radiation exposure but saved more than $100,000 in imaging costs, the surgeons estimate. They suggest other institutions would also benefit by incorporating a template.

Learn more in this Pediatrics Nationwide article

When Should Breastfed Babies be Supplemented?

Breastmilk is the preferred option for feeding babies and while supplementation is sometimes needed, it has been applied with great variation, often to the detriment to the child and breastfeeding success. Vanessa L. Shanks, MD, a neonatologist and director of the Lactation Program at Nationwide Children’s answers common questions from primary care providers and suggests useful resources.

Read more in this PediatricsOnline article.